| NPI | 1467857821 |
|---|---|
| Doing Business As | AVITA ONTARIO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | D ERIC DRAIME CFO 419-468-4841 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2023-02-14 |